Jerry George Olsen M.D.

NPI 1043301849 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1043301849
Gender Male
Enumeration Date 09/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6711 S NEW BRAUNFELS AVE
SUITE 100
SAN ANTONIO TX, 78223-3005, US
Phone (210) 531-7716
Fax (210) 531-7478
Business Location
33 LYNN BATTS
APARTMENT # 3203
SAN ANTONIO TX, 78218-3000, US
Phone (210) 820-3225
Fax (210) 567-8414
Toxanomy
Taxonomy Code 2084P0800X
License State Texas
License Number J5112
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According to our database, Dr. Jerry George Olsen M.D. NPI is 1043301849, taxonomy code is 2084P0800X and license number is J5112, license state is located at Texas. Jerry George Olsen M.D. physically located at 6711 S New Braunfels Ave, San Antonio TX, 78223-3005. NPI Number Jerry George Olsen M.D. has the Individual type.

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1043301849 NPI number is provided on an as is basis without warranty of any kind. 1043301849 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry George Olsen M.D. are for informational purposes only.